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HomeMy WebLinkAbout2007-P11424 - plumbing PERMIT CITY Or O�ONO Permit ►vumber: 2750 Kelley Parkway- PO Box 66 P11424 Crystal Bay, Minnesota 55323 Permit Type: Fixtures (952)249-4600 Date Issued: 9/10/2007 SITE ADDRESS: 1169 North Arm Dr Unit# Mound,MN 55364 PID: 07-117-23-14-0060 DESCRIPTION: Proposed Use: Residential Permit Class: Plumbing Pernut Type: Fixtures Permit Sub-type(s): Mulriple Fixtures DETAILS: Approved per resolution#: Separate pernvts reyuired: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 1,500.00 State Surcharge Fee: $ 0.75 TOTAL FEE: $ 35.75 APPLICANT: Self OWNER: Ryan Alness n'IN 1169 North Arm Dr Mound,MN 55364 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. , ��� I ✓ l', ,; � " �� CQ w�n ' APPLI PERMITEE SIGNATURE ISSUED BY SIGNATU Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 .f _ FOR CITY USE OI�LY . ' �: �- �0 City of Orono . � '� P.OrBox 66 Date Received: ` Permit# � Q'� � 2750 Kelley Parkway �, � ' � Crystal Bay,MN 55323 Approved By: ' Amount$: , " T`�o�� (952)249-4600 '`�t�go CITY OF ORONO—PLUMBING PERMIT (All Commercial permits must be approved by the Building O�cial ot Inspector) GENER.AL INFORMATION . 1. You may apply for plumbing pernuts by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Plumbing pern�its may be issued ONLY to licensed plumbing contractors and to property owners residing iri the dwelling. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with State Code requirements. 6. All work must be inspected and air tested before it is covered. Call(952)249-4600. (24-48_hour notice required)' � � : TYPE OF PERMIT . Check All That A 1 ) �Residential ❑Commercial(Approval Required) ❑ New ❑Additional ❑Repairs �Replace � In Accessory Structure? *You will need nrior auuroval and may need CUP. (Per Orono City Code,Chapter 78,Article IV) Job Site f Owner Information: Site Address: �) jvcl �o�'�"`1 rr�-l�m �� Owner:�� ��n�sS Mailing Address: � • City: �rc�no Zip: Home Phone: 76 3�q�3-�i 483 Alternate Phone: Contractor Information: � Contractor: Contact Person: Address: State Bond#: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 . � �- " r� . . . . � ♦ � , ; ,: . P�.,�nv�������n��.��sT.�,1;;�D � � ., _ . FIXTURE BSMT 1 2 OTHER FIXTURE BSMT 1 2 OTHER TYPE FL FL TYPE FL FL Water Closet Floor Drains Lavatory � Sewer Ejector , Bathtub � Laundry Tray Shower Washer ' Kitchen Sink / Water Heater ,/ Disposal / Water Softener � Dishwasher � Wet Bar Sillcocks Miscellaneous . 3": "3 �J �W _ a . ,� ... �.f 'd `.FS.E �'� e�... �. �� vt�L�:Y�. t�+� s. : . -�a'�.�„ j ... °'�� g.. �, �' y�-��-„�, z fr,�S�.�e�f,� . . �'ta i r' r:� � ' � �� '+�, .7 r���j�'S°��...�r'�'�' �-s� x� `��s 4^i�. ���, +,+, ,� � p x �, e' . ,,wr:. � T^� �ik ..�� ��C� r � P7P� a,t...,,�y r� � 5 i�Z _:'- '��s�w'e t �...;�a� , ,. � �,_ - - �i��.'��'����b?at,fih Ev�rs,*���'� ��.+�*.�.,�'.�,�+6: . _ � ❑ Yes,this section applies The replacement of a Residential fixture or a�pliance that meets all three of the following requirements: 1. Does not require modificarion to electrical or gas service. 2. Has a total cost of$500.00 or less;excludins the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ (Permit Fees Continued On Next Page) . 2 / � �M . , . . , � z : -� PERMIT FEE GALCLTLATI,ON S =JOBS`OVER�$500.00- : � If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a.(Minimum Fee of$35.00) � � _ _ X.0�25 $ 3� .75 ( ontract price) (minimum$35.00) ,2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) � x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.5�9� 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � ■ * CONTRACT PRICE or JOB COST means the actual or esrimated dollar amount charged for the � pernutted work including materials,labor,profit, and other fixed costs. It is the amount to be charged to the.customer.for the�ork done. If any material, equipment, labor or installarions are fiunished by the owner, tenant or any other party, the reasonable market value of such items must be added to the estimated cost or contraCt price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. ■ ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whichever is � greater. For v�aluations over$1,000,000 call the Building Department at(952)249-4600 for the price. �!�.3 x.kt ����'�f,:��5d��' .,�������i.I ..�����1 y;�"� ��� ,��� '�"�k���J YIF�, i .���.x The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and � correct. Applicant's Signature. Date: 30 3 � `'� DATE I � '"��ITY OF ORONO CALLED IN •�� INSPECTION N TICE SCHEDULED L' Z�C')C)-�'� PERMIT N0. �y COMPLETED ADDRESS�Q4 I�I1'� 1 TJ�►'Vl iD+� v� OWNER CONTR.�r�7.tA �YI� TELEPHONE N0. ��� �l ' �'� � DESCRIPTION � 01 FOOTING 11 MECHANICA RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHAN FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � O W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � CORRECT WORK&PROCEED r' ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �95Z� 249-4600 OwnerlContractor e: Inspector. � Whiie Copyllnspector's File Canary CopylSite Notice � CITY OF ORONO P" ��`�2� ��ALLED IN � D6 � 1�67 � T�U� INSPECTION N SCHEDULED t� LX'i?7 3.'00 PERMIT NO. connP� TE� ADDRESS I(111� N�►`W' I i�ll I� � 1 D/ - OWNER CONTR._�� f�'1 V�P,� TELEPHONE NO. �Z- �Z-, r �� � DESCRIPTION � ❑ FOOTING ❑ MECH NIC L RI ❑ EXC V/G ADING/FILLING � ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKE RENVETLANDS Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTA�L. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � o � �� � � 1 � ���� �Q � � � �'e��� � 0 � W � Q � Z W � W � j d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ,�CORRECT WORK,CALL FOR REINSPECTION TEMPORARY �� �BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR '�CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Inspector. P , 1 � �/�/�.�� White Copyllnspector's File Canary CopylSite Notice